Clinical Case ManagerAbsolute Authorizations LLC • New York, New York, United States
Clinical Case Manager
Absolute Authorizations LLC
- New York, New York, United States
- New York, New York, United States
À propos
Absolute Authorizations LLC is looking to hire an experienced healthcare clinician for our Clinical Case Manager position. This is a fully remote position advocating patient care in Skilled Nursing Facilities. MANDATORY EXPERIENCE: - Experience working with Skilled Nursing Facilities - Working knowledge reading clinical notes - Obtaining Authorizations for Skilled Nursing Facility care Responsibilities: 1.Submit detailed concurrent reviews and appeals highlighting Medical Necessity 2.Procure and maintain accurate tracking of all authorization and payer details 3.Identify and obtain reimbursement opportunities 4.Routinely correspond all outstanding billing details to Facility 5.Provide temporary case management coverage as needed 6.Coordinate and streamline communication between Insurance Case Managers and facility clinicians 7.Serve as the primary point of contact and support for Facility staff addressing issues, questions, or concerns regarding their Managed Care population. Qualifications: 1.Knowledge of SNF Managed Care policies, procedures and processes. 3.Experience in a Skilled Nursing Facility setting 4.Valid medical license and clinical experience 5.Excellent verbal and written communication skills 6.Organizational skills 7.Knowledgeable in Microsoft Suite and computer skills Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at Absolute Authorizations LLC by 2x Get notified about new Clinical Case Manager jobs in
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Compétences linguistiques
- English
Avis aux utilisateurs
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